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General NPI Number Information
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NPI Number | 1952445512
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Entity Type | Individual
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Provider Name | MICHAEL Z WOLKENFELD PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | CHILDRENS HOSPITAL LOS ANGELES, 4650 SUNSET BLVD. MAIL STOP #99
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City | LOS ANGELES
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State | CA
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Zip | 90027-6016
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Country | US
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Telephone | 323-361-4641
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Fax |
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Provider Business Mailing Address
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Address Line | 12647 KILLION ST
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91607-1534
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Country | US
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Telephone | 213-308-1701
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY 20644
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License Number State | CA
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